Question 1

A practitioner decreases the oxygenation setting on the mechanical ventilator,which results in an increase in heart rate.This is _____________________

Accepted Answer

A)  a first sign of hypoxemia. 
B)  an expected cardiovascular change. 
C)  typical with normal healthy patients. 
D)  an indication that the patient needs suctioning. 
A)  a first sign of hypoxemia. 
B)  an expected cardiovascular change. 
C)  typical with normal healthy patients. 
D)  an indication that the patient needs suctioning.

Question 2

The practitioner wants to improve the gas exchange and reduce sedation for a patient on pressure control ventilation.The therapist should consider ________________

Accepted Answer

A)  decreasing plateau pressure. 
B)  switching to volume assist control ventilation. 
C)  changing to APRV. 
D)  increasing the PEEP. 
A)  decreasing plateau pressure. 
B)  switching to volume assist control ventilation. 
C)  changing to APRV. 
D)  increasing the PEEP.

Question 3

Rapid shallow breathing index is used _______________________

Accepted Answer

A)  to measure effectiveness of oxygenation. 
B)  to identify the settings used in high frequency ventilation. 
C)  in assessment of neonates and infants. 
D)  to quantify the relationship between tidal volume and respiratory rate. 
A)  to measure effectiveness of oxygenation. 
B)  to identify the settings used in high frequency ventilation. 
C)  in assessment of neonates and infants. 
D)  to quantify the relationship between tidal volume and respiratory rate.

Question 4

Time cycled breath control _______________

Accepted Answer

A)  identifies periods of apnea. 
B)  is adjusted in increments of 1-3 mm Hg. 
C)  adjusts the end of inspiration after a specified time. 
D)  increases pressure to a set value. 
A)  identifies periods of apnea. 
B)  is adjusted in increments of 1-3 mm Hg. 
C)  adjusts the end of inspiration after a specified time. 
D)  increases pressure to a set value.

Question 5

Inverse ratio ventilation is __________________

Accepted Answer

A)  where the expiratory phase is longer than inspiration. 
B)  best described a expiratory retard. 
C)  when inspiration is longer than expiration. 
D)  is an I:E of 1:1.1 
A)  where the expiratory phase is longer than inspiration. 
B)  best described a expiratory retard. 
C)  when inspiration is longer than expiration. 
D)  is an I:E of 1:1.1

Question 6

What is the auto-set-point control?

Accepted Answer

Auto-set-point control describes modes w

Question 7

What is proportional assist ventilation?

Accepted Answer

Proportional assist ventilation (PAV)is

Question 8

A respiratory care practitioner may use which of the following to eliminate the airway resistance caused by an artificial airway?

Accepted Answer

A)  APRV 
B)  Automatic tube compensation 
C)  Inverse ratio ventilation 
D)  Automode 
A)  APRV 
B)  Automatic tube compensation 
C)  Inverse ratio ventilation 
D)  Automode

Question 9

What is the key indicator of ventilation?

Accepted Answer

A)  Tidal volume 
B)  RSBI 
C)  PaCO₂ 
D)  PaO₂ 
A)  Tidal volume 
B)  RSBI 
C)  PaCO₂ 
D)  PaO₂

Question 10

Mandatory minute volume is described by which of the following?

Accepted Answer

A)  It is a totally assist mode used to wean a patient from the ventilator. 
B)  If patient does not breathe target minute volume ventilator will make up difference. 
C)  It is a control mode that requires the patient to breathe a target minute volume. 
D)  It uses set mandatory breaths with spontaneous tidal volume breaths. 
A)  It is a totally assist mode used to wean a patient from the ventilator. 
B)  If patient does not breathe target minute volume ventilator will make up difference. 
C)  It is a control mode that requires the patient to breathe a target minute volume. 
D)  It uses set mandatory breaths with spontaneous tidal volume breaths.

Question 11

A patient needs to have a lower mean airway pressure and improved oxygenation.The respiratory care practitioner should consider _________________

Accepted Answer

A)  SIMV. 
B)  PRVC. 
C)  automode with volume support ventilation. 
D)  inverse ratio ventilation. 
A)  SIMV. 
B)  PRVC. 
C)  automode with volume support ventilation. 
D)  inverse ratio ventilation.

Question 12

A practitioner wants to use volume support but is concerned that the patient might have periods of apnea.What should be used to ensure that the patient will have a backup ventilation mode?

Accepted Answer

A)  Automode 
B)  Automatic tube compensation 
C)  Mandatory minute ventilation 
D)  Proportional assist ventilation 
A)  Automode 
B)  Automatic tube compensation 
C)  Mandatory minute ventilation 
D)  Proportional assist ventilation

Question 13

Benefits of APRV are which of the following?

Accepted Answer

A)  Increased secretion mobilization 
B)  Improved gas exchange, reduced dead space, less sedation 
C)  Reduction of ventilating pressures 
D)  Reversal of bronchospasm 
A)  Increased secretion mobilization 
B)  Improved gas exchange, reduced dead space, less sedation 
C)  Reduction of ventilating pressures 
D)  Reversal of bronchospasm

Exam 26: Advanced Modes of Mechanical Ventilation

A practitioner decreases the oxygenation setting on the mechanical ventilator,which results in an increase in heart rate.This is _____________________

The practitioner wants to improve the gas exchange and reduce sedation for a patient on pressure control ventilation.The therapist should consider ________________

Rapid shallow breathing index is used _______________________

Time cycled breath control _______________

Inverse ratio ventilation is __________________

What is the auto-set-point control?

What is proportional assist ventilation?

A respiratory care practitioner may use which of the following to eliminate the airway resistance caused by an artificial airway?

What is the key indicator of ventilation?

Mandatory minute volume is described by which of the following?

A patient needs to have a lower mean airway pressure and improved oxygenation.The respiratory care practitioner should consider _________________

A practitioner wants to use volume support but is concerned that the patient might have periods of apnea.What should be used to ensure that the patient will have a backup ventilation mode?

Benefits of APRV are which of the following?

Basics of Asepsis

Basic Patient Assessment: Vital Signs and Breath Sounds

Advanced Patient Assessment: Inspection, Palpation, and Percussion

Radiologic Assessment

Pulmonary Function Testing

Electrocardiography

Phlebotomy

Arterial Blood Gas Sampling

Hemodynamic Monitoring

Noninvasive Monitoring

Documentation and Goals Assessment

Oxygen Supply Systems

Oxygen Administration

Introduction to Respiratory Care Pharmacology

Humidity and Aerosol Therapy

Bronchial Hygiene Therapy

Hyperinflation Therapy

Bronchoscopy Assisting

Equipment Processing and Surveillance

Emergency Airway Management

Artificial Airway Care

Chest Tubes

Insertion and Maintenance of Intravenous Lines

Noninvasive Positive-Pressure Ventilation

Continuous Mechanical Ventilation

Wave Form Analysis

Weaning and Discontinuance of Mechanical Ventilation

Neonatal Mechanical Ventilation

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